Fields marked with an asterisk are required.
Indicate how you want your nametag to read, if different than above:
Zip Code *
Please indicate any physical or dietary needs that require special attention:
Guests and Children
The information provided below will be used to plan and guarantee the number of attendees for the social functions.
Once you have submitted the registration form and have to make any changes to your selections, please contact AJA as soon as possible.
Inaccurate guarantees may make it difficult or impossible to accommodate all who plan to attend.
Registration Fees - Members
$450 US (payment received on or before July 1, 2014)
$495 US (payment received after July 1, 2014)
$175 US Guest/Spouse Fee (payment received on or before July 1, 2014)
$200 US Guest/Spouse Fee (payment received after July 1, 2014)
Registration Fees - Non Members
$300 US Non-member Nevada Judges Only (does not include banquet; does include
one free year of AJA membership)
$100 US Non-member Nevada Judges Banquet Fee
$250 US Guest/Spouse Fee
TOTAL DUE: $495
* Payment Information:
Cancellations must be submitted in writing.
All cancellations will incur a $50 US processing fee ($25 US for guest/spouse fees).
Download the registration PDF